Like adults, children and adolescents are also diagnosed with psychiatric disorders and may require treatment via electroconvulsive therapy when the disorder becomes severe and drug therapy fails. The American Academy of Child and Adolescent Psychiatry has published guidelines in which a second opinion is to be obtained from a psychiatrist who is not involved in the treatment of the patient. After that, it is necessary to obtain informed consent from parents for the child to undergo electroconvulsive therapy. ECT is recommended if they fail to respond to at least 2 trials of the psychopharmacological drugs. Children and adolescents are considered for electroconvulsive therapy if they have severe or constant depression, schizophrenia, catatonia, schizoaffective disorders, or neuroleptic malignant syndrome. The symptoms of these patients are severe, continuous, and injurious to the health.